Organization · Type 2 NPI

Phoenix Children's Medical Group

Multi-Specialty Clinic/Center · Scottsdale, AZ

NPI number 1316203383 Active

Practice location

6990 E Shea Blvd
Scottsdale, AZ 85254-5200

Call (602) 933-0004 Map

Fax (602) 933-6151

Mailing address

2108 E Thomas Rd Ste 130
Phoenix, AZ 85016-0008

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	SH3107 (AZ)

Multi-Specialty Clinic/Center: Definition to come...

2 other providers at this address

Phoenix Children's Hospital, Inc.Urgent Care Clinic/Center Scottsdale, AZ NPI 1053655746
James Michael Diana Jr., DCChiropractor Scottsdale, AZ NPI 1043361769

Other multi-specialty clinic/center providers in Scottsdale

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NPI record

NPI: 1316203383
Entity type: Organization (Type 2)
Issued: Apr 4, 2012
Last updated: May 22, 2023
Status: Active
Subpart: Yes of Phoenix Children's Hospital, Inc.

Other names

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Phoenix Children's Ambulatory Specialty Center - Scottsdale · other name
Phoenix Children's Ambulatory Specialty Center - Scottsdale · other name

Authorized official

Raheel Farough
SVP, Managed Care & Payor Strategy
(602) 933-3548

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1316203383

Phoenix Children's Medical Group's National Provider Identifier is 1316203383, issued on Apr 4, 2012. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Scottsdale, AZ. The record was last updated on May 22, 2023.